Nolan, Jerry P., Soar, Jasmeet, Smith, Gary B., Gwinnutt, Carl, Parrott, Francesca, Power, Sarah, Harrison, David A., Nixon, Edel and Rowan, Kathryn (2014) Incidence and outcome of in-hospital cardiac arrest in the United Kingdom National Cardiac Arrest Audit. Resuscitation, 85 (8). pp. 987-992. doi:10.1016/j.resuscitation.2014.04.002 ISSN 0300-9572.
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Abstract
Objective
To report the incidence, characteristics and outcome of adult in-hospital cardiac arrest in the United Kingdom (UK) National Cardiac Arrest Audit database.
Methods
A prospectively defined analysis of the UK National Cardiac Arrest Audit (NCAA) database. 144 acute hospitals contributed data relating to 22,628 patients aged 16 years or over receiving chest compressions and/or defibrillation and attended by a hospital-based resuscitation team in response to a 2222 call. The main outcome measures were incidence of adult in-hospital cardiac arrest and survival to hospital discharge.
Results
The overall incidence of adult in-hospital cardiac arrest was 1.6 per 1000 hospital admissions with a median across hospitals of 1.5 (interquartile range 1.2–2.2). Incidence varied seasonally, peaking in winter. Overall unadjusted survival to hospital discharge was 18.4%. The presenting rhythm was shockable (ventricular fibrillation or pulseless ventricular tachycardia) in 16.9% and non-shockable (asystole or pulseless electrical activity) in 72.3%; rates of survival to hospital discharge associated with these rhythms were 49.0% and 10.5%, respectively, but varied substantially across hospitals.
Conclusions
These first results from the NCAA database describing the current incidence and outcome of adult in-hospital cardiac arrest in UK hospitals will serve as a benchmark from which to assess the future impact of changes in service delivery, organisation and treatment for in-hospital cardiac arrest.
| Item Type: | Journal Article |
|---|---|
| Subjects: | R Medicine > RC Internal medicine |
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
| Library of Congress Subject Headings (LCSH): | Cardiac arrest -- Treatment, Hospitals -- Admission and discharge |
| Journal or Publication Title: | Resuscitation |
| Publisher: | Elsevier Ireland Ltd |
| ISSN: | 0300-9572 |
| Official Date: | August 2014 |
| Dates: | Date Event August 2014 Published 15 April 2014 Available 8 April 2014 Accepted |
| Volume: | 85 |
| Number: | 8 |
| Page Range: | pp. 987-992 |
| DOI: | 10.1016/j.resuscitation.2014.04.002 |
| Status: | Peer Reviewed |
| Publication Status: | Published |
| Access rights to Published version: | Restricted or Subscription Access |
| Date of first compliant deposit: | 6 February 2019 |
| Date of first compliant Open Access: | 7 February 2019 |
| URI: | https://wrap.warwick.ac.uk/113532/ |
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